重型颅脑损伤合并严重胸损伤的临床救治

Clinical rescue of severe craniocerebral trauma with severe chest trauma

目的探讨重型颅脑损伤合并严重胸损伤的诊断和治疗。方法对32例重型颅脑损伤合并严重胸损伤的临床资料进行分析。结果GOS预后评分：恢复良好14例，中残9例，重残3例，植物生存2例，死亡4例。结论重型颅脑损伤合并严重胸损伤其伤情复杂而严重，伤残率和病死率较高。全面详细的检查、正确的诊断和及时有效的治疗和处理，弄清颅脑损伤和胸部损伤的关系，积极防治成人呼吸窘迫综合征（ARDS）及肺部感染等并发症，是提高抢救成功率的关键。

Objective To investigate the diagnosis and treatment of severe craniocerebral trauma with severe chest trauma. Methods The clinical data of 32 cases of severe craniocerebral trauma with severe chest trauma were analysed. Results According to GOS ：good recovery 14 cases; residues 9 cases; severely disabled 3 cases; plant survival 2 cases ; death 4 cases. Conclusion The severe craniocerebral trauma with severe chest trauma is a complex and serious injury and the disability and mortality rates is high. Making a full review in the diagnosis and treatment, correctly handling the relationship of craniocerebral trauma and chest trauma, controling ARDS and complications such as pulmonary infection was required in the process and the success rate of rescue could be improved.